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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010215003
Report Date: 06/09/2021
Date Signed: 06/09/2021 02:51:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:OAKLAND HEAD START - ARROYO VIEJO PARKFACILITY NUMBER:
010215003
ADMINISTRATOR:ORURUO, VIVIANFACILITY TYPE:
850
ADDRESS:7701 KRAUSE AVENUETELEPHONE:
(510) 615-5757
CITY:OAKLANDSTATE: CAZIP CODE:
94605
CAPACITY:16CENSUS: 6DATE:
06/09/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Angelita HarrisTIME COMPLETED:
02:55 PM
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LPA Dyer met with Director Angelita Harris for an Unannounced Required - 1 Year Inspection at 10:00 a.m. Present are 4 staff and 6 preschool children. There is one classroom. Sign-in/sign-out sheets list the time and parents' full signature. There is a working phone. The last fire/emergency drill was 4/23/21. There is a carbon monoxide detector and a fire extinguisher. Classroom furniture is in good condition. There are toys, books, crafts and educational supplies available. Floors were clean and safe. There is adequate heating, ventilation, and lighting. Bathroom toilets and sinks are working properly. Children are able to reach the sinks. There were adequate bathroom supplies. Kitchen area (including storage areas for food) was clean. No insects or pests were seen. There were storage containers with lids for solid waste in the kitchen. Food is prepared outside the facility at a central kitchen. Center supplies breakfast, lunch and snacks. Menus were posted. Inside, there is proper storage areas for each child with cubbies. There is adequate napping equipment (mats). There is drinking water available at all times inside and outside the center through pitchers and cups. Isolation area for sick children is in the Reading Area. Director stated that there were no bodies of water or firearms on the premises. First aid kit is located on a shelf near the door. Proper posting requirements were met. Facility has emergency earthquake supplies. Cleaning supplies, poisons and other items dangerous to children are placed in locked cabinets, inaccessible to children.

Outside play area (securely fenced) is safe and free of hazards. There were a variety of toys and play materials such as bicycles, blocks, child size stove and balls. The area around the climbing playground equipment is cushioned with material that absorbs a fall. There is an outside shaded area. Playground equipment was safe, and the surface of the yard was safe and free of hazards. Supervision of children outdoors was discussed.

Individual Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations/Procedures for Child Care Centers Sections 101173 &101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. (continued)
SUPERVISOR'S NAME: Phyllis DyerTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis DyerTELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: OAKLAND HEAD START - ARROYO VIEJO PARK
FACILITY NUMBER: 010215003
VISIT DATE: 06/09/2021
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The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Director states there are no children needing medications at the present time.

Children's files (sample of 3) were examined at 12:48 p.m. They list emergency information and a medical assessment. Employee records: (sample of 2) were reviewed at 1:28 p.m. and contain a health screening assessment, immunization records, and Mandated Reporter Training certificates. The director stated that at least one person trained in CPR/First Aid is always present. All individuals subject to a criminal record review have obtained clearance or a criminal record exemption.

LPA did not observe any child left without visual supervision/unattended during the inspection. Children are accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet their needs.

Discussed with the director: the need for contaminated food to be discarded immediately; the need for all materials and surfaces accessible to children to be toxic free; how measures shall be taken to keep the facility free of insects/rodents/pest management; the department's inspection authority; termination of employees; entry screening of adults and children; isolation of sick children; personnel physically and mentally able to complete their job duties; personnel job training; and the new regulation for required lead testing for drinking water.

Facility was found to be clean, safe, sanitary and in good repair at the time of this inspection. There are no deficiencies cited today.

Websites: Community Care Licensing: www.ccld.ca.gov. Mandated Reporter Training: www.mandatedreporterca.com (Child Care Providers Module - required every 2 years).

Exit interview conducted. Notice of site visit was posted at the time of the inspection, and must remain posted for 30 days. This report must be kept available for public review for 3 years.

SUPERVISOR'S NAME: Phyllis DyerTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis DyerTELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
LIC809 (FAS) - (06/04)
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